{"id":115953,"date":"2023-08-24T20:30:17","date_gmt":"2023-08-24T20:30:17","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=115953"},"modified":"2023-08-24T20:30:19","modified_gmt":"2023-08-24T20:30:19","slug":"complete-test-bank-lilleys-pharmacology-for-canadian-health-care-practice-4th-edition-sealock-questions-answers-with-rationales-chapter-1-58","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/24\/complete-test-bank-lilleys-pharmacology-for-canadian-health-care-practice-4th-edition-sealock-questions-answers-with-rationales-chapter-1-58\/","title":{"rendered":"Complete Test Bank Lilleys Pharmacology for Canadian Health Care Practice 4th Edition Sealock Questions & Answers with rationales (Chapter 1-58)"},"content":{"rendered":"\n

Copyright \u00a9 2021, Elsevier Inc. All rights reserved. 1
Lilleys Pharmacology for Canadian Health Care Practice 4th Edition Sealock
Test Bank
Chapter 01: Nursing Practice in Canada and Drug Therapy
Sealock: Lilley\u2019s Pharmacology for Canadian Health Care Practice, 4th Edition
MULTIPLE CHOICE<\/p>\n\n\n\n

    \n
  1. Which is a judgement about a particular patient\u2019s potential need or problem?
    a. A goal
    b. An assessment
    c. Subjective data
    d. A nursing diagnosis
    ANS: D
    Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made about how a patient responds to
    heath conditions and life processes or vulnerability for that response.
    DIF: Cognitive Level: Knowledge<\/li>\n\n\n\n
  2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unable to swallow, he cannot take
    medication orally, as ordered. The nurse needs to contact the physician. What type of problem is this?
    a. A \u201cright time\u201d problem
    b. A \u201cright dose\u201d problem
    c. A \u201cright route\u201d problem
    d. A \u201cright medication\u201d problem
    ANS: C
    This is a \u201cright route\u201d problem: the nurse cannot assume the route and must clarify the route with the prescriber. This is not a \u201cright
    time\u201d problem because the ordered frequency has not changed. This is not a \u201cright dose\u201d problem because the dose is not related to
    an inability to swallow. This is not a \u201cright medication\u201d problem because the medication ordered will not change, just the route.
    DIF: Cognitive Level: Application<\/li>\n\n\n\n
  3. The nurse has been monitoring the patient\u2019s progress on his new drug regimen since the first dose and has been documenting signs
    of possible adverse effects. What nursing process phase is the nurse practising?
    a. Planning
    b. Evaluation
    c. Implementation
    d. Nursing diagnosis
    ANS: B
    Monitoring the patient\u2019s progress is part of the evaluation phase. Planning, implementation, and nursing diagnosis are not
    illustrated by this example.
    DIF: Cognitive Level: Application<\/li>\n\n\n\n
  4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. Which statement best illustrates an
    outcome criterion for this patient?
    a. The patient will follow instructions.
    b. The patient will not experience complications.
    c. The patient adheres to the new insulin treatment regimen.
    d. The patient demonstrates safe insulin self-administration technique.
    ANS: D
    Having the patient demonstrate safe insulin self-administration technique is a specific and measurable outcome criterion. Following
    instructions and avoiding complications are not specific criteria. Adherence to the new insulin treatment regimen is not objective
    and would be difficult to measure.
    DIF: Cognitive Level: Application<\/li>\n\n\n\n
  5. Which activity best reflects the implementation phase of the nursing process for the patient who is newly diagnosed with type 1
    diabetes mellitus?
    a. Providing education regarding self-injection technique
    b. Setting goals and outcome criteria with the patient\u2019s input
    c. Recording a history of over-the-counter medications used at home
    d. Formulating nursing diagnoses regarding knowledge deficits related to the new
    treatment regimen
    ANS: A
    Education is an intervention that occurs during the implementation phase. Setting goals and outcome criteria reflects the planning
    phase. Recording a drug history reflects the assessment phase. Formulating nursing diagnoses regarding a knowledge deficit
    reflects analysis of data as part of the planning phase.
    DIF: Cognitive Level: Analysis<\/li>\n<\/ol>\n\n\n\n

    Copyright \u00a9 2021, Elsevier Inc. All rights reserved. 2<\/p>\n\n\n\n

      \n
    1. The nurse is working during a very busy night shift, and the health care provider has just given the nurse a medication order over
      the telephone, but the nurse does not recall the route. What is the best way for the nurse to avoid medication errors?
      a. Recopy the order neatly on the order sheet, with the most common route indicated
      b. Consult with the pharmacist for clarification about the most common route
      c. Call the health care provider to clarify the route of administration
      d. Withhold the drug until the health care provider visits the patient
      ANS: C
      If a medication order does not include the route, the nurse must ask the health care provider to clarify it. Never assume the route of
      administration.
      DIF: Cognitive Level: Application | Cognitive Level: Analysis<\/li>\n\n\n\n
    2. Which constitutes the traditional Five Rights of medication administration?
      a. Right drug, right route, right dose, right time, and right patient
      b. Right drug, the right effect, the right route, the right time, and the right patient
      c. Right patient, right strength, right diagnosis, right drug, and right route
      d. Right patient, right diagnosis, right drug, right route, and right time
      ANS: A
      The traditional Five Rights of medication administration were considered to be Right drug, Right route, Right dose, Right time, and
      Right patient. Right effect, right strength, and right diagnosis are not part of the traditional Five Rights.
      DIF: Cognitive Level: Comprehension<\/li>\n\n\n\n
    3. What correctly describes the nursing process?
      a. Diagnosing, planning, assessing, implementing, and finally evaluating
      b. Assessing, then diagnosing, implementing, and ending with evaluating
      c. A linear direction that begins with assessing and continues through diagnosing,
      planning, and finally implementing
      d. An ongoing process that begins with assessing and continues with diagnosing,
      planning, implementing, and evaluating
      ANS: D
      The nursing process is an ongoing, flexible, adaptable, and adjustable five-step process that begins with assessing and continues
      through diagnosing, planning, implementing, and finally evaluating, which may then lead back to any of the other phases.
      DIF: Cognitive Level: Application<\/li>\n\n\n\n
    4. When the nurse is considering the timing of a drug dose, which is most important to assess?
      a. The patient\u2019s identification
      b. The patient\u2019s weight
      c. The patient\u2019s last meal
      d. Any drug or food allergies
      ANS: C
      The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard to any drug\u2013food interactions or
      compatibility issues. The patient\u2019s identification, weight, and drug or food allergies are not affected by the drug\u2019s timing.
      DIF: Cognitive Level: Application<\/li>\n\n\n\n
    5. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her nursing diagnosis?
      a. Anxiety
      b. Anxiety related to new drug therapy
      c. Anxiety related to anxious feelings about drug therapy, as evidenced by
      statements such as \u201cI\u2019m upset about having to give myself shots\u201d
      d. Anxiety related to new drug therapy, as evidenced by statements such as \u201cI\u2019m
      upset about having to give myself shots\u201d
      ANS: D
      Formulation of nursing diagnoses is usually a three-step process. The only complete answer is \u201cAnxiety related to new drug
      therapy, as evidenced by statements such as \u2018I\u2019m upset about having to give myself shots.\u2019\u201d The answer \u201cAnxiety\u201d is missing the
      \u201crelated to\u201d and \u201cas evidenced by\u201d portions. The answer \u201cAnxiety related to new drug therapy\u201d is missing the \u201cas evidenced by\u201d
      portion of defining characteristics. The \u201crelated to\u201d section in \u201cAnxiety related to anxious feelings about drug therapy, as evidenced
      by statements such as \u2018I\u2019m upset about having to give myself shots\u2019\u201d is simply a restatement of the problem \u201canxiety,\u201d not a
      separate factor related to the response.
      DIF: Cognitive Level: Analysis
      OTHER<\/li>\n\n\n\n
    6. Place the phases of the nursing process in the correct order, starting with the first phase.
      a. Planning
      b. Evaluation
      c. Assessment
      d. Implementation
      e. Diagnosing
      ANS:
      C, E, A, D, B
      DIF: Cognitive Level: Analysis<\/li>\n<\/ol>\n\n\n\n

      Copyright \u00a9 2021, Elsevier Inc. All rights reserved. 1
      Chapter 02: Pharmacological Principles
      Sealock: Lilley\u2019s Pharmacology for Canadian Health Care Practice, 4th Edition
      MULTIPLE CHOICE<\/p>\n\n\n\n

        \n
      1. A patient is receiving two different drugs, which, at their current dose forms and dosages, are both absorbed into the circulation in
        identical amounts. Which term best denotes that the drugs have the same absorption rates?
        a. Equivalent
        b. Synergistic
        c. Compatible
        d. Bioequivalent
        ANS: D
        Two drugs absorbed into the circulation at the same amount (in specific dosage forms) have the same bioavailability; thus, they are
        bioequivalent. \u201cEquivalent\u201d is incorrect because the term \u201cbioavailability\u201d is used to express the extent of drug absorption.
        \u201cSynergistic\u201d is incorrect because this term refers to two drugs given together whose resulting effect is greater than the sum of the
        effects of each drug given alone. \u201cCompatible\u201d is incorrect because this term is a general term used to indicate that two substances
        do not have a chemical reaction when mixed (or given, in the case of drugs) together.
        DIF: Cognitive Level: Comprehension<\/li>\n\n\n\n
      2. A patient is receiving medication via intravenous injection. Which information should the nurse provide for patient education?
        a. The medication will cause fewer adverse effects when given intravenously.
        b. The medication will be absorbed slowly into the tissues over time.
        c. The medication\u2019s action will begin faster when given intravenously.
        d. Most of the drug is inactivated by the liver before it reaches the target area.
        ANS: C
        Intravenous injections are the fastest route of absorption. The intravenous route does not affect the number of adverse effects, the
        intravenous route is not a slow route of absorption, and the intravenous route does not cause inactivation of the drug by the liver
        before it reaches the target area.
        DIF: Cognitive Level: Comprehension<\/li>\n\n\n\n
      3. Which is true regarding parenteral drugs?
        a. They bypass the first-pass effect.
        b. They decrease blood flow to the stomach.
        c. They are altered by the presence of food in the stomach.
        d. They exert their effects while circulating in the bloodstream.
        ANS: A
        Drugs given by the parenteral route bypass the first-pass effect, but they still must be absorbed into cells and tissues before they can
        exert their effects. Enteral drugs (drugs taken orally), not parenteral drugs, decrease blood flow to the stomach and are altered by
        the presence of food in the stomach. Parenteral drugs must be absorbed into cells and tissues from the circulation before they can
        exert their effects; they do not exert their effects while circulating in the bloodstream.
        DIF: Cognitive Level: Analysis<\/li>\n\n\n\n
      4. A drug\u2019s half-life is best defined as
        a. The time it takes for the drug to elicit half its therapeutic response.
        b. The time it takes one-half of the original amount of a drug to reach the target
        cells.
        c. The time it takes one-half of the original amount of a drug to be removed from the
        body.
        d. The time it takes one-half of the original amount of a drug to be absorbed into the
        circulation.
        ANS: C
        A drug\u2019s half-life is the time it takes for one-half of the original amount of a drug to be removed from the body. It is a measure of
        the rate at which drugs are removed from the body. Answers A, B, and D are not correct definitions of a drug\u2019s half-life.
        DIF: Cognitive Level: Comprehension<\/li>\n\n\n\n
      5. The term \u201cduration of action\u201d is best defined as
        a. The time it takes for the drug to elicit a therapeutic response.
        b. The time it takes a drug to reach its maximum therapeutic response.
        c. The length of time it takes to remove a drug from circulation.
        d. The time during which drug concentration is sufficient to elicit a therapeutic
        response.
        ANS: D
        Duration of action is the time during which drug concentration is sufficient to elicit a therapeutic response. The time it takes for a
        drug to elicit a therapeutic response is the drug\u2019s \u201conset of action.\u201d The time it takes a drug to reach its maximum therapeutic
        response is a drug\u2019s \u201cpeak effect.\u201d \u201cThe length of time it takes to remove a drug from circulation\u201d defines a drug\u2019s elimination and
        does not correctly define a drug\u2019s duration of action.
        DIF: Cognitive Level: Comprehension<\/li>\n<\/ol>\n\n\n\n

        Copyright \u00a9 2021, Elsevier Inc. All rights reserved. 2<\/p>\n\n\n\n

          \n
        1. A drug interacts with enzymes by
          a. altering cell membrane permeability.
          b. \u201cfooling\u201d a receptor on the cell wall.
          c. enhancing the drug\u2019s effectiveness within the cells.
          d. \u201cfooling\u201d the enzyme into binding with it instead of its normal target cell.
          ANS: D
          When drugs interact with enzymes, they inhibit the action of a specific enzyme by \u201cfooling\u201d the enzyme into binding to it instead
          of to its normal target cell. Thus, the target cells are protected from the action of the enzymes to result in a drug effect. The
          alteration of cell membrane permeability, the \u201cfooling\u201d of a receptor on the cell wall, and the enhancement of the effectiveness of
          drugs within cells do not occur with selective enzyme interactions.
          DIF: Cognitive Level: Comprehension<\/li>\n\n\n\n
        2. When administering a new medication to a patient, the nurse reads that it is highly protein bound. Which consequence will result
          from this protein binding?
          a. Renal excretion will take longer.
          b. The drug will be metabolized quickly.
          c. The duration of action of the medication will be longer.
          d. The duration of action of the medication will be shorter.
          ANS: C
          Drugs that are bound to plasma proteins are characterized by a longer duration of action. Protein binding does not make renal
          excretion longer and does not increase metabolism of the drug. Protein binding of a drug means that the duration of action is
          longer, not shorter.
          DIF: Cognitive Level: Application<\/li>\n\n\n\n
        3. When monitoring a patient on an insulin drip to reduce blood glucose levels, the nurse notes that the patient\u2019s glucose level is
          extremely low, and the patient is lethargic and difficult to awaken. Which adverse drug reaction is the nurse observing?
          a. An adverse effect
          b. An allergic reaction
          c. An idiosyncratic reaction
          d. A pharmacological reaction
          ANS: D
          A pharmacological reaction is an extension of the drug\u2019s normal effects in the body. In this case, the insulin lowered the patient\u2019s
          blood glucose levels too much. An adverse effect is a predictable, well-known adverse drug reaction that results in minor or no
          changes in patient management. An allergic reaction (also known as a hypersensitivity reaction) involves the patient\u2019s immune
          system. An idiosyncratic reaction is unexpected and is defined as a genetically determined abnormal response to normal dosages of
          a drug.
          DIF: Cognitive Level: Comprehension<\/li>\n\n\n\n
        4. A patient is experiencing chest pain and needs to take a sublingual form of nitroglycerin. Where should the nurse tell the patient to
          place the tablet?
          a. Under the tongue
          b. In the space between the cheek and gum
          c. At the back of the throat, for easy swallowing
          d. On a non-hairy area on the chest
          ANS: A
          Drugs taken by the sublingual route are placed under the tongue. Placing the tablet in the space between the cheek and gum is done
          for the buccal route; placing the tablet at the back of the throat (for easy swallowing) is done in the oral route; and placing the tablet
          on a non-hairy area on the chest is done in the topical or transdermal route.
          DIF: Cognitive Level: Comprehension<\/li>\n\n\n\n
        5. The nurse is administering medications to a patient who is in liver failure due to end-stage cirrhosis. The nurse is aware that
          patients with liver failure are most likely to have problems with which pharmacokinetic phase?
          a. Absorption
          b. Distribution
          c. Metabolism
          d. Excretion
          ANS: C
          The liver is the organ that is most responsible for drug metabolism. Decreased liver function will most affect a drug\u2019s metabolism.
          The absorption of a drug is not affected by liver function, and distribution is not affected by liver function. Excretion is affected
          only because decreased liver function may not transform drugs into water-soluble substances for elimination via the kidneys, but
          this is not the best answer to this question.
          DIF: Cognitive Level: Application<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

          Copyright \u00a9 2021, Elsevier Inc. All rights reserved. 1Lilleys Pharmacology for Canadian Health Care Practice 4th Edition SealockTest BankChapter 01: Nursing Practice in Canada and Drug TherapySealock: Lilley\u2019s Pharmacology for Canadian Health Care Practice, 4th EditionMULTIPLE CHOICE Copyright \u00a9 2021, Elsevier Inc. All rights reserved. 2 Copyright \u00a9 2021, Elsevier Inc. All rights reserved. 1Chapter […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-115953","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/115953","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=115953"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/115953\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=115953"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=115953"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=115953"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}